Individual provider Active NPI

Mina Raju, D.O.

  • Infectious Disease Physician
  • Visalia, CA
National Provider Identifier
1588600068
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
20A9970 Issued in CA
Practice address
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone
(559) 302-7927
Fax
(559) 741-9938
NPI assigned
Jun 21, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 20A9970 CA Primary
Infectious Disease Physician 207RI0200X 044291 CT

Addresses

Primary practice location

5400 W Hillsdale Ave
Visalia, CA 93291-8222

Mailing address

PO Box 2744
Visalia, CA 93279-2744
Phone (559) 302-7927

Other practice location 1

2503 S Tommy Ct
Visalia, CA 93277-8624
Phone (559) 623-9905

Other identifiers 1

IdentifierTypeStateIssuer
00AX99700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000494 CA Practitioner - Infectious Disease 0345244687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1141 Rose Ave
Selma, CA 93662-3241
Phone (559) 936-9920

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 936-9920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.77 of 100Reported as individual
Quality
52.13
Improvement activities
0
Cost
66.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9970CAMDCommunity Health Worker
044291CTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mina Raju DO Inc Infectious Disease CurrentSince May 28, 2016 Accepting new patients
New Hope Wound Care Specialists CurrentSince Aug 1, 2022 Accepting new patients

Locations

1014 San Juan Ave
Exeter, CA 93221
Phone (559) 592-7300

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1588600068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2744",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932792744",
            "telephone_number": "559-302-7927",
            "fax_number": "559-741-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918222",
            "telephone_number": "559-302-7927",
            "fax_number": "559-741-9938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Tommy Ct",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778624",
            "country_code": "US",
            "telephone_number": "559-623-9905",
            "fax_number": "559-713-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJU",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-10-11",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A9970",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "044291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX99700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.